Systemic Examination Signs Quiz
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Questions and Answers

Where does the abdominal pain localize depend on?

  • The duration of the pain
  • The type of food eaten
  • The embryologic origin of the organ (correct)
  • The patient's age
  • Which condition accounts for 28% of cases of acute abdominal pain?

  • Acute appendicitis (correct)
  • Small Bowel Obstruction
  • Pancreatitis
  • Acute cholecystitis
  • What organ region does hindgut pain typically localize to?

  • Umbilicus
  • Hypogastric region (correct)
  • Epigastrium
  • Chest area
  • What type of pain is localized to the dermatome above the site of the stimulus?

    <p>Parietal pain</p> Signup and view all the answers

    What is the percentage of cases accounted for by Non-Specific Acute Abdominal Pain?

    <p>34%</p> Signup and view all the answers

    Which condition accounts for 3% of cases of acute abdominal pain?

    <p>Perforated peptic ulcer</p> Signup and view all the answers

    What is indicated by Cullen's sign?

    <p>Retroperitoneal haemorrhage</p> Signup and view all the answers

    Which sign is characterized by severe left shoulder pain?

    <p>Kehr's sign</p> Signup and view all the answers

    Which sign involves hyperextension of the right hip causing abdominal pain?

    <p>Iliopsoas sign</p> Signup and view all the answers

    What condition is associated with Grey-Turner's sign?

    <p>Retroperitoneal hemorrhage</p> Signup and view all the answers

    What condition presents with local Right Iliac Fossa tenderness?

    <p>Acute appendicitis</p> Signup and view all the answers

    Which medical condition is characterized by an abrupt interruption of inspiration on palpation of the right upper quadrant?

    <p>Acute cholecystitis</p> Signup and view all the answers

    What would be the best initial management for a 35-year-old male with acute abdominal pain, distension, and vomiting, along with tachycardia and abdominal rigidity?

    <p>IV fluids → X-ray abdomen</p> Signup and view all the answers

    What is the best initial investigation for a 40-year-old female presenting with severe pain in RUQ with radiation to the back and vomiting, along with mild tenderness in RUQ?

    <p>USG examination</p> Signup and view all the answers

    In a 65-year-old male with thinning of urinary stream, intermittency, lower abdominal pain, and suprapubic distension, what is likely to be found on per rectal examination?

    <p>BPH</p> Signup and view all the answers

    Following right hemicolectomy for a cecal mass, a patient develops abdominal distension, bilious vomiting, and multiple air fluid levels on X-ray abdomen on postoperative day 7. What is the most probable cause?

    <p>Paralytic ileus</p> Signup and view all the answers

    Which condition is characterized by rigidity in the abdomen, indicating tense and board-like abdominal muscles?

    <p>Peritonitis</p> Signup and view all the answers

    Which of the following investigations would NOT be useful in assessing a patient post right hemicolectomy with symptoms of abdominal distension and bilious vomiting?

    <p>Colonoscopy</p> Signup and view all the answers

    What is the likely cause of suprapubic pain associated with acute urinary retention?

    <p>PID (Pelvic Inflammatory Disease)</p> Signup and view all the answers

    Which condition is typically associated with epigastric pain and a history of previous episodes of Acute Pancreatitis?

    <p>Duodenal/gastric ulcer</p> Signup and view all the answers

    What symptom may be present in patients with Mesenteric Adenitis that can help differentiate it from Acute Appendicitis?

    <p>Genitourinary symptoms</p> Signup and view all the answers

    In a thin or malnourished patient with visible peristalsis during palpation, which condition should be considered?

    <p>Small Bowel Obstruction</p> Signup and view all the answers

    Which condition can potentially cause urinary symptoms such as ureteric colic and UTIs?

    <p>Meckel’s diverticulum</p> Signup and view all the answers

    In a 45-year-old male experiencing acute pain in the epigastrium radiating to the back after an alcohol binge and severe vomiting, which statement is true regarding serum lipase and serum amylase?

    <p>Serum lipase is more helpful than serum amylase in making a correct diagnosis after 5 days.</p> Signup and view all the answers

    In acute cholecystitis, pain in the right shoulder is classified as:

    <p>Referred pain</p> Signup and view all the answers

    Regarding duodenal ulcer perforation, which statement is accurate about erect chest X-ray and detecting air under the diaphragm?

    <p>Erect X-ray chest is not helpful in detecting air under the diaphragm.</p> Signup and view all the answers

    Which of the following statements about pain characteristics in acute cholecystitis and acute pancreatitis is accurate?

    <p>Pain in acute cholecystitis typically radiates to the back.</p> Signup and view all the answers

    Based on the X-ray abdomen provided, what condition is most likely indicated?

    <p>Acute small intestinal obstruction</p> Signup and view all the answers

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